Cecocutaneous fistula diagnosed by computed tomography fistulography: A case report

Figure 5 Timeline. A: Redness and swelling over the right lower quadrant abdominal wall were noted; B: The patient came to the outpatient department for help; discharge from the carbuncle abscess was collected for bacterial culture. Blood analysis was performed; C: The patient was admitted to our hospital under the diagnosis of cellulitis (redness and a mass formation over the abdominal wall without visible opening or intestinal tract symptoms); D: The bacterial culture of the discharge produced Enterococcus sp. Enterocutaneous fistula was suspected; E: We performed a colonoscopy and observed inflammation in the ileocecal valve region; F: Abdominal computed tomography (CT) without contrast suggested that the colon was in close contact with the abdominal wall. We thus performed CT fistulography; G: Diagnostic laparoscopy showed severe adhesion of the colon to the abdominal wall. We conducted laparoscopic right hemicolectomy and reanastomosis; H: The patient was discharged from the hospital one week after surgery.